Pneumonitis complicating methotrexate therapy for pustular psoriasis

被引:11
|
作者
Ameen, M
Taylor, DA
Williams, IP
Wells, AU
Barker, JNWN
机构
[1] St Thomas Hosp, St Johns Inst Dermatol, London SE1 7EH, England
[2] Hemel Hempstead Gen Hosp, Dept Thorac Med, Hempstead, Herts, England
[3] Royal Brompton Natl Heart & Lung Hosp, London SW3 6NP, England
关键词
methotrexate; pneumonitis; psoriasis;
D O I
10.1046/j.1468-3083.2001.t01-1-00223.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
We report a patient with pustular psoriasis who developed interstitial pneumonitis after receiving weekly methotrexate (MTX) therapy at an average dose of 20 mg for 26 years. The patient responded dramatically to withdrawal of the drug and administration of corticosteroids. Pulmonary toxicity is a rare adverse effect of MTX therapy and is particularly uncommon in psoriatics. As interstitial pneumonitis is a potentially fatal but reversible complication, early respiratory symptoms even in patients on low-dose MTX treatment should be appropriately investigated.
引用
收藏
页码:247 / 249
页数:3
相关论文
共 50 条
  • [1] Acute respiratory distress syndrome complicating generalized pustular psoriasis (psoriasis-associated aseptic pneumonitis)
    Kluger, Nicolas
    Bessis, Didier
    Guillot, Bernard
    Girard, Celine
    JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2011, 64 (06) : 1154 - 1158
  • [2] Systemic therapy of psoriasis: methotrexate
    Kozub, P.
    Simaljakova, M.
    BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY, 2011, 112 (07): : 390 - 394
  • [3] SHORT-TERM METHOTREXATE THERAPY IN PSORIASIS
    KUMAR, B
    HANDA, S
    KAUR, I
    INDIAN JOURNAL OF MEDICAL RESEARCH, 1994, 100 : 277 - 280
  • [4] PNEUMONITIS ASSOCIATED TO METHOTREXATE
    Saenz Abad, D.
    Ruiz-Ruiz, F. J.
    Monon Ballarin, S.
    Mozota Duarte, J.
    Marquina Barcos, A.
    ANALES DE MEDICINA INTERNA, 2008, 25 (01) : 27 - 30
  • [5] Outcomes of methotrexate therapy for psoriasis and relationship to genetic polymorphisms
    Warren, R. B.
    Smith, R. L.
    Campalani, E.
    Eyre, S.
    Smith, C. H.
    Barker, J. N. W. N.
    Worthington, J.
    Griffiths, C. E. M.
    BRITISH JOURNAL OF DERMATOLOGY, 2009, 160 (02) : 438 - 441
  • [6] Pustular psoriasis
    Bachelez, H.
    ANNALES DE DERMATOLOGIE ET DE VENEREOLOGIE, 2012, 139 : S34 - S38
  • [7] Anti-TNF-α therapy in childhood pustular psoriasis
    Pereira, Teresa M.
    Vieira, Ana Paula
    Fernandes, Jose Carlos
    Antunes, Henedina
    Basto, A. Sousa
    DERMATOLOGY, 2006, 213 (04) : 350 - 352
  • [8] Comparison of methotrexate and cyclosporine therapy in psoriasis
    Christopher T. Ritchlin
    Current Rheumatology Reports, 2004, 6 (4) : 289 - 289
  • [9] Life-Threatening Pneumonitis Complicating Low-Dose Methotrexate Treatment for Juvenile Idiopathic Arthritis in a Child
    Liu, Yuan-Chang
    Tu, Yu-Ling
    Wu, Ren-Chin
    Huang, Jing-Long
    Yao, Tsung-Chieh
    PEDIATRIC EMERGENCY CARE, 2014, 30 (06) : 415 - 417
  • [10] Folate supplementation reduces the side effects of methotrexate therapy for psoriasis
    Baran, Wojciech
    Batycka-Baran, Aleksandra
    Zychowska, Magdalena
    Bieniek, Andrzej
    Szepietowski, Jacek C.
    EXPERT OPINION ON DRUG SAFETY, 2014, 13 (08) : 1015 - 1021